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Holly Hovan's picture
Causes of Incontinence

by Holly M. Hovan MSN, APRN, ACNS-BC, CWOCN-AP

With World Continence Week upon us, it is an appropriate time to discuss some types and causes along with treatment of urinary incontinence. The most common types of incontinence that we learn about are stress, urge, mixed (stress and urge), transient, neurogenic, and functional.

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WoundSource Editors's picture

by the WoundSource Editors

As many as one-quarter to one-third of adults are living with incontinence. Risk factors include: age, obesity, childbirth, and prostate enlargement. Not being able to control leaking urine is embarrassing and can even cause people to limit daily activities and prevent them from enjoying life. Here are some ways medical professionals can support patients living with incontinence.

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Aletha Tippett MD's picture
Tetanus Immunization

by Aletha Tippett MD

Tetanus is a multisystem disease that occurs worldwide and is caused by the bacterium Clostridium tetani. This bacterium is present in feces and soil. Tetanus has been mostly eradicated in the United States because of childhood immunization; however, there have been reported cases among immigrants, as well as young adults who partake in higher-risk behaviors such as body piercing and tattooing and those who fail to maintain adult booster immunization. Other risk factors include diabetes or chronic wounds. It is fatal in approximately 10% to 30% of cases. Tetanus can be localized (with muscle contractions in the part of the body where the infection began) or generalized (affecting the entire body). Most reported tetanus cases are generalized.

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Temple University School of Podiatric Medicine's picture
Temple University

Diabetic foot ulcers do not always respond well to conventional wound healing methods for a multitude of reasons. Fibroblasts in people with diabetes have decreased migration and proliferation potential as a result of increased metalloproteinase levels in the wound bed of diabetic foot ulcers. These patients are also prone to bacterial infection within the wound because of the immunocompromised status of a patient with diabetes. Negative-pressure wound therapy (NPWT) can mediate these issues. The precise mechanism of action of NPWT is not clearly defined, but some possibilities have been conceptually determined. NPWT stimulates cell activity and migration, decreases bioburden in the wound by removing fluid, and reduces edema. However, the authors theorized that the increased pressure induced by NPWT on the skin could cause decreased tissue oxygenation in the wound bed.

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Thomas Serena's picture
Wound Care Teamwork

by Thomas E. Serena MD, FACS, FACHM, FAPWCA

In the words of Ben Franklin, “We must all hang together, or assuredly we shall all hang separately.” The specialty of wound care and hyperbaric medicine faces a never-ending attack from payers and regulators. Our current state of partition leaves us voiceless and defenseless. We must band together and be counted.

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Susan Cleveland's picture
Moisture-Associated Skin Damage Prevention

by Susan Cleveland, BSN, RN, WCC, CDP, NADONA Board Secretary

Incontinence-associated dermatitis (IAD) is a prevalent complication of incontinence that compromises skin integrity, predisposes patients to cutaneous infection, and increases pressure ulcer risk. IAD is an inflammation of the skin as a result of long-term or repeated exposure to urine or feces. Reported IAD incidence rates in long-term care settings vary from 3.4% to 25% and up to 65% in the presence of double incontinence (urine and stool).

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Hy-Tape International's picture
Ostomy Care Supplies

by Hy-Tape International

Ostomy surgery is an increasingly common treatment for patients with Crohn's disease. With over 450,000 people with stomas in the United States and 120,000 new ostomy surgical procedures performed each year, a growing number of patients must contend with the difficulties of stoma management. However, with guidance from a health care professional, stoma patients can live healthy, active lives while minimizing their risk of injury, infection, and other problems.

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Martin Vera's picture
Biopsy of Atypical Wound

By Martin Vera, LVN, CWS

This blog describes a few atypical wounds, including scleroderma, Marjolin's ulcer, and Kaposi's sarcoma (KS). Even with the previous discussion of atypical wounds in this two-part series, many other atypical wounds exist, and I encourage and challenge you to educate yourselves and others, continue doing the research necessary to continue the battle to prevent and heal these wounds, and increase awareness to achieve early detection and have better chances for positive outcomes.

WoundSource Practice Accelerator's picture

Alginate: Highly absorptive, non-occlusive dressing derived from brown seaweed or kelp.

Antimicrobial dressing: Delivers a sustained release of antimicrobial agents to the wound, to eradicate bioburden.

WoundSource Practice Accelerator's picture
Socioeconomic Considerations When Choosing a Wound Dressing

by the WoundSource Editors

As wound care clinicians, we need to take into consideration many different factors in deciding on a treatment plan for our wound patients. Our patients should be evaluated on an individual basis. If we look at our patient’s socioeconomic status, we will find it varies from patient to patient Socioeconomic status clearly affects morbidity and mortality rates related to wounds. Wound management tends to be lower in quality and follow-up visits tend to be fewer in number when compared with patients with better economic status.

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